Issue - Southern Medical Association

Editorial

THE MAN WHO CAME TO DINNER–THE HEALTH PROFESSIONS EDUCATIONAL ASSISTANCE ACT OF 1976

Editorial

Current Roles of Nursing in Health Care

Article

Common Bony Densities Mimicking Chest Disease

Images of bony densities on routine chest radiographs may simulate intrathoracic disease processes. Such entities include images produced by normal anatomic structures, anatomic variants, and benign processes. Most commonly, chest disease was simulated by virtue of projection or poor visualization of the bony density in question on the routine chest…

Article

Joint Surgery for Rheumatoid Arthritis

The state of the art in the surgery of rheumatoid joint disease is discussed with emphasis on guidelines for choosing the patients and the types of procedures available. Strong-willed, strong-boned, strong-muscled, and well-informed patients are the best candidates. Synovectomy is particularly useful in the minimally erosive stages of the disease…

Article

Intermittent Mandatory Ventilation

The introduction of the concept of intermittent mandatory ventilation (IMV) has meant that for the first time weaning is controlled. The abrupt cessation of ventilatory support, even for short periods, as was obligatory before IMV, is no longer necessary. The frequency of positive pressure inflations can be gradually and progressively…

Announcement

GENERAL ANNOUNCEMENTS

Article

Asymptomatic Space‐Occupying Lesions of the Kidney A Programmed Sequential Approach and Its Impact on Quality and Cost of Health Care

Sequential roentgenographic investigation of asymptomatic space-occupying lesions of the kidney is credited with establishing the diagnosis in 84.6% of 940 patients using only two examinations. Two thirds of all patients were diagnosed by relatively noninvasive technics such as infusion nephrotomogram, renal scintiscan, and the cyst puncture and aspiration test complex….

Article

Management of Anterior Intraocular Opacities With the Roto‐Extractor

The roto-extractor was used in 32 cases of anterior segment membranes or opacities during an 18-month period. Of these, 27 eyes improved and five did not improve or became worse. Significant complications included retinal detachment, massive preretinal retraction, and recurrent hemorrhage which contributed to the visual loss in these patients.

Article

Resistance to Gentamicin A Growing Concern

Gentamicin was introduced in 1969 as a broad-spectrum aminoglycoside effective in vitro against a majority of aerobic gram-negative bacilli. In recent years gentamicin-resistant clinical isolates have become more prevalent. In our laboratory in 1975, 32% of Pseudomonas sp and 44% of indole-negative Proteus sp isolates were resistant to gentamicin. Resistance…

Article

Prevention of Inherited Multifactorial Diseases

Among the inherited multifactorial diseases are included a number of the common chronic diseases of adults. Assignment of risks within high-risk families, based on both genetic and environmental factors, offers opportunity for prevention of a portion of the present chronic disease burden. The most realistic option for prevention must be…

Article

Symptomatic Inflammatory Fibroid Polyp of the Small Bowel Report of Two Cases With Review of Literature

Two cases of symptomatic inflammatory fibroid polyps (IFP) of the small intestine are presented, and the 17 adequately described symptomatic IFP previously reported are reviewed. IFP of the small bowel are rare. Most patients present with intestinal obstruction and a few with chronic anemia. IFP have characteristic histologic features and…

Article

Transbronchial Lung Biopsy Using Fiberoptic Bronchoscope

Transbronchial lung biopsy through the fiberoptic bronchoscope was done in 15 patients, and adequate pulmonary tissue was obtained in 14 (93.3%). A pathologic diagnosis was made in nine patients (64.3%), and through direct histologic examination of lung tissue in two patients certain disease entities were excluded, thus significantly influencing treatment….

Article

Antimicrobial Resistance and R Factors in Salmonella Isolated From Humans and Animals in Georgia and South Carolina

Three hundred and five strains of Salmonella isolated from humans and 152 strains isolated from animals in Georgia and South Carolina during 1973 were examined for resistance to 14 antimicrobial agents. S typhimurium was the most frequently isolated serotype (30% of human isolates and 13% of animal isolates). The overall…

Article

Spinal Syphilis The Problem of Fluorescent Treponemal Antibody in the Cerebrospinal Fluid

Spinal manifestations of syphilis are now uncommon. Three adults with presumptive nontabetic spinal syphilis are presented. This paper should serve as a reminder to physicians that cases of late syphilis continue to occur and may be manifested as obscure spinal syndromes and be misdiagnosed unless the possibility of syphilis is…

Article

The FTA‐ABS Test A Diagnostic Help or Hindrance?

The fluorescent treponemal antibody absorption (FTA-ABS) test, an excellent confirmatory treponemal test, has been used increasingly for syphilis screening and case detection. To evaluate its performance as an initial test, we did Venereal Disease Research Laboratory (VDRL) slide and FTA-ABS tests on 1,043 patients suspected of having syphilis. When retested…

Article

Evaluation of a Serologic Test for Gonorrhea in a Low‐Risk Female Population

This is a report of an evaluation of a new serologic test for gonorrhea—the Gonosticon Dri-Dot Test—as compared to the standard Thayer-Martin culturing technics in a low-risk female population. The Gonosticon Dri-Dot Test detected only 50% of the gonorrhea cases discovered by the conventional culture method. Furthermore, the serologic technic…

Article

Granulocyte Transfusion Therapy in Children

A prospective study of 45 granulocyte transfusions in children using continuous flow centrifugation is reported. During 13 episodes of proven or presumed infection, only two children failed to show a favorable response to granulocyte transfusion. The neutropenic child shows a significantly increased absolute granulocyte count one hour after transfusion. The…

Book Review

Genetics and the Law

Book Review

Orthopaedic Surgery in Infancy and Childhood

Book Review

Neonatal Intensive Care

Article

Carpal Tunnel Syndrome Report of 430 Operations

Analyzed are data on 430 operations in 326 patients for median nerve compression at the wrist. Follow-up data from a patient self-evaluation questionnaire were available for 71% of patients. Incidence was highest in the fifth and sixth decades of life, and 65% of patients were female. For most patients, symptoms…

Review Article

Current Status of Diagnosis and Treatment of Cardiac Dysrhythmias in Pediatric Patients

Current Concepts

Radiation Therapy in Cancer of the Rectum and Rectosigmoid

Carcinoma of the rectum and rectosigmoid is one of the major causes of death in adults. Despite marked advances in surgical skills, anesthesia, and antibiotics, the results remain poor. Although papers in the medical literature have stressed the importance of adjunctive radiation therapy, most general surgeons do not refer patients…

Article

Boys and Girls

Current Concepts

Granulocyte Transfusion Therapy

Article

Eponym William Smellie

Case Report

Acute Febrile Illness Associated With Bilateral Pulmonary Infiltrates After Irradiation in a Patient With Hodgkin's Disease

Case Report

Acute Corneal Injury by Mustard Gas

Case Report

Malacoplakia of the Prostate

Case Report

Diagnosis of Lymphoma From a Cholecystectomy Specimen Case Report and Review of the Literature

Case Report

Disseminated Histoplasmosis in an Immunosuppressed Patient

Case Report

Nasal Hemangiopericytoma

Current Concepts

Mesenteric Venous Thrombosis and Oral Contraceptives

Case Report

Hyporeninernic Hypoaldosteronism After Renal Transplantation

Case Report

Collision and Interlocking of Twins

Case Report

Rapid Karyotypic Diagnosis of a Case of Trisomy 18 in the Neonatal Intensive Care Unit

Case Report

Nonhealing Myelomeningocele in an Adult

Case Report

Subacute Staphylococcal Meningitis Secondary to Postpartum Endometritis

Case Report

Acinar Cell Carcinoma of the Pancreas in a 9‐Year‐Old Child Case Report With Electron Microscopic Observations

Case Report

Right‐Sided Diaphragmatic Hernia of Delayed Onset in the Newborn Infant

Case Report

Salmonella Empyema A Review

Case Report

Hemodialysis in Treatment of Acute Chloral Hydrate Poisoning

Case Report

Metastatic Melanoma of the Stomach The Endoscopic and Roentgenographs Findings and Review of the Literature

Case Report

Multiple Leiomyosarcomas

Letter to the Editor

Biography of Dr. Ochsner

Letter to the Editor

Fire Ant Stings

Letter to the Editor

Anniversary Reaction in Medical Practice